MARIE WONKYONG SHIN DPM NPI 1275824971

NPI Information

  • NPI: 1275824971
  • Provider Name: MARIE WONKYONG SHIN, DPM
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2261 N UNIVERSITY DR
    SUITE 200
    PEMBROKE PINES, FL
    ZIP 33024
  • Phone: (954) 987-4991

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NPI Details

Marie Wonkyong Shin, DPM is a primary podiatric medicine podiatrist in Pembroke Pines, FL with 16 years of experience. Marie Wonkyong Shin, DPM NPI is 1275824971. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2009

The provider's business location address is:

2261 N UNIVERSITY DR
SUITE 200
PEMBROKE PINES, FL
ZIP 33024-623
Phone: (954) 987-4991
Fax: (954) 987-4922

The NPI 1275824971 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 4/28/2011 and was last updated on 12/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213EP1101XPodiatristPrimary Podiatric Medicine25MD00308000NEW JERSEYYes
2213ES0103XPodiatristFoot & Ankle SurgeryPO3564FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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